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MAPD HMOG UI DEBO O K2021 Group MedicareAdvantage HMO PlanY0040 GHHKF68EN 21 M
We can’t wait to care for youAt Humana, we know that people are different,and need our support in different ways. YourMedicare Advantage HMO with prescription drugplan coverage will center around you, your healthand your goals. After you enroll, we’ll mail you anEvidence of Coverage booklet that will have allthe plan information and details, including a fulllist of benefits.What is Medicare?Medicare is a federal health insurance programfor U.S. citizens and legal residents who are 65and older or qualify due to a disability. You mustbe entitled to Medicare Part A and enrolled inMedicare Part B as the Humana Group MedicareHMO plan is a Medicare Advantage plan. You mustalso continue paying Medicare Part B premiumsto remain enrolled in this plan.Humana offers you aMedicare Advantage HMOA HMO offers All the benefits of Original Medicare,plus extra benefits Maximum out-of-pocket protections Worldwide emergency coverage Programs to help improve health and well-beingDedicated team and more Y our choice of an in-network provider tomanage your care Large network of providers, specialists andhospitals to pick from Coverage for office visits, including routinephysical exams Coverage for medically necessary staysin the hospital Almost no claim forms to fill out or mail—wetake care of that for you Predictable costs, so you’ll know how much yourcopayments and coinsurance percentages are Dedicated Customer Care specialists who serveonly our Group Medicare members2Humana offers you a MedicareAdvantage HMO with prescriptiondrug plan which offers:A large networkThere are more than 66,000 participatingpharmacies in our network.Maximize Your Benefit RxWe want to make sure medication costs aren’tkeeping you from the care you need. Humanatells you, by telephone and mail, how to saveon prescription drugs by switching to ones thatcost less.Almost no claims paperworkThe plan works with your pharmacist to handleclaims for you.Pharmacy finderAn online tool that helps you find pharmacies. Italso tells you how far they are from you, the hoursthey’re open, if they have a drive-through available,if they offer emergency Rx, delivery options and ifthey have bilingual employees.Discover a more human wayto healthcareCoverage that fits the way you liveWhen you become a Humana member, you canexpect healthcare designed with you in mind—thatmeets you where you are today and delivers carethat takes you to where you want to be.Care delivered how and where you need itWe can help you manage complex or chronichealth conditions. A Humana nurse can meetyou at home, in the hospital, by phone oremail to provide valuable support and help youreduce complications.Benefits that put you firstOur health and well-being tools and resourcesmake it easy to set health goals, chart yourprogress, strengthen your mind and body andbuild connections with others. It’s about givingyou everything you expect from an insurancecompany—and then finding more ways to helpmake your life better.
MAPD HMOPARTS OF MEDICAREMedicare Part AHO S PITAL IN SURANCEG UI DEBO O KIt helps cover medically necessary inpatient carein a hospital or skilled nursing facility. It also helpscover some home healthcare and hospice care.Medicare Part BME DIC AL INSURA NCEIt helps cover medically necessary providers’services, outpatient care and other medicalservices and supplies. Part B also helps coversome preventive services.Medicare Part CME DIC AR E ADVANTAG E PLANSThese are available through private insurancecompanies, such as Humana. Medicare Part C helpscover everything medically necessary that Part Aand Part B cover, including hospital and medicalservices. You still have Medicare if you elect MedicarePart C coverage. You must be entitled to MedicarePart A and enrolled in Part B to be eligible for aMedicare Part C plan.Medicare Part DP R E S C R IP TION D RUG COVERA GELike Part C Medicare Advantage plans, Part D isonly available through private companies, such asHumana. Many Part C Medicare Advantage plansinclude Medicare Part D prescription drug coverage.Part D helps pay for the medications your providerprescribes.3
PROVIDER RELATIONSHIPSBuild healthy provider relationshipsYour relationship with your provider is important in helping you protect and manage your health.With the Humana Group Medicare HMO plan, you’ll have a primary care provider who will helpyou manage your care, who knows your medical history and the medicines you take. You can pickany provider from our network who is taking new patients, or you can change to another networkprovider if you choose. If you need to see a specialist, your provider will help you find one.When you need hospital or outpatient care, you may need a referral. Ask your provider to contact uswhenever you’re admitted to the hospital. We may have advice and special programs your providercan use to help you heal faster.Is your provider in Humana’sprovider network?Humana respects your relationship with yourprovider. We want you to be able to select aprovider who’s close to home and who can focuson your specific needs. If you need help finding aprovider, call our Group Medicare Customer Careteam or use our online directory. Humana’s onlineprovider lookup is an easy way to find doctors,hospitals and other healthcare providers inHumana’s network: Go to Humana.com and select “Find a doctor” Get provider phone numbers, addresses anddirections Customize your search by specialty, locationand nameIs your pharmacy in Humana’s network?Your relationship with your pharmacist isimportant in protecting and managing yourhealth. You must use network pharmacies to enjoythe benefits of our plan except in an emergency.Pharmacies in the network have agreed to workwith Humana to fill prescriptions for our members.If you use a pharmacy outside the network, yourcosts may be higher.Our pharmacy network includes mail delivery,specialty, retail, long-term care, home infusion,and Indian, tribal and urban pharmacies.You can find a complete list of networkpharmacies at MyHumana, your personal,secure online account at Humana.com, and theMyHumana Mobile app.* Get printable maps anddirections, along with many more details to find apharmacy that fits your needs. Other informationat Humana.com/pharmacy/medicare/toolsincludes: Printable Drug Lists Prior authorization information Maximize Your Benefit RxMedical preauthorizationFor certain services and procedures, your provideror hospital may need to get advance approvalfrom Humana before your plan will coverany costs. This is called prior authorization orpreauthorization. Providers or hospitals will submitthe preauthorization request to Humana. If yourprovider hasn’t done this, please call our CustomerCare team, as Humana may not be able to pay forthese services.*Standard data rates may apply.4
MAPD HMOVIRTUAL VISITS / TELEMEDICINEG UI DEBO O KConnect with a provideror behavioral healthprofessional virtuallyCare when you need itYour healthcare should always begin withyour primary care provider or behavioralhealth specialist.Your primary care provider and your specialistmay offer virtual visits as another convenientway to be treated by your care team.What are virtual visits?What kinds of conditions can be treated?Virtual visits connect you with your provider viatelephone or video chat using your phone, tablet*or laptop*. They allow you to get help with chroniccondition management, follow-up care after anin-office visit, medication reviews and refills andmuch more, just like an in-office visit.Providers can help with chronic conditionmanagement, follow-up care after an in-officevisit, medication reviews and refills in additionto many other conditions including but notlimited to: Allergies Fever Cold and flu symptoms Sore throat Constipation Sinus infection Diarrhea Insect bites Depression, anxiety, stress and family andrelationship counselingWhen should I use it? F or a nonemergency issue, instead of goingto the emergency room (ER) or an urgentcare center. F or nonemergency mental and behavioralhealth conditions (by appointment).Remember, when youhave a life-threateninginjury or major trauma,call 911.Call your provider to find out if they offervirtual visits and if so, what you need todo to get started.If you don’t have a primary care provider or ifyour PCP doesn’t offer virtual visits, you canuse the “Find a doctor” tool on Humana.comor call the number on the back of your memberID card to get connected with a provider thatoffers this service.*Standard data rates may apply.5
UNDERSTANDING YOUR DIABETES COVERAGEKnowing how your coverage works can save youfrom paying out of your pocket for vaccinesThe Medicare Part D portion of your plan covers all commercially available vaccines—except forthose covered by Part B—as long as the vaccine is reasonable and necessary to prevent illness.Get vaccines like the ones listed below at your providers officeThe Medicare Part B portion of your plan pays for the following vaccines at your provider’s officeand at the pharmacy: influenza (flu) vaccine—once per season; pneumococcal vaccines; hepatitisB vaccines for persons at increased risk of hepatitis and vaccines directly related to the treatmentof an injury or direct exposure to a disease or condition, such as rabies and tetanus.Get vaccines like the ones listed below at a network pharmacyIf you get them at your provider’s office, you’ll pay the full cost of the vaccine out of pocket.Some common vaccines that you should get at your pharmacy, not from your provider, areshingles, Tdap and hepatitis A.Understanding your diabetes coverageAt Humana, we make it easy for you to understand your benefits and get what you need tomanage your condition.Diabetes prescriptions and supplies, Part B vs. Part DMedicare Part BMedicare Part D Diabetic testing supplies Diabetes medications Insulin pumps Insulin administered (or used) with syringes or pens I nsulin administered(or used) in insulin pumps S yringes, pen needles or other insulin administrationdevices that are not durable medical equipment(e.g., Omnipod or VGO)Diabetic testing suppliesYour Humana Medicare Advantage Plan helps cover a variety of diabetic glucose testing supplies.Humana Pharmacy is the preferred durable medical equipment (DME) vendor for the products,and offers the meters listed below and their test strips and lancets:Roche Accu-Chek Guide Me , Roche Accu-Chek Guide and HP True Metrix AIR by Trividia.To order a meter and supplies from Humana Pharmacy, call 1-877-222-5084 (TTY: 711),Monday – Friday, 8 a.m. – 8 p.m., Eastern time.Your doctor can also send prescriptions for meters and other testing supplies by fax or e-prescribe.You can also request a no-cost meter from the manufacturer by calling Roche at 1-877-264-7263(TTY: 711), or Trividia Health at 1-866-788-9618 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m.,Eastern time.Go to Humana.com/Diabetes to learn more about managing your diabetes. MyDiabetesPath offers a complete guide to living with diabetes and gives you the information and resources tohelp you stay healthy.6
Why choose Humana Pharmacy? S avings. Many Humana plans provide cost savingsif you fill a 90-day supply* of your maintenancemedicine through a mail-delivery pharmacy,instead of a retail pharmacy. Additionally, thepharmacy team works with you and your providerto find medicine that costs less. E xperienced pharmacy team. Pharmacistsare available to answer questions about yourmedicine and our services. S afe and accurate. Two pharmacists check yournew prescriptions to make sure they’re safe totake with your other medications. The dispensingequipment and heat–sealed bottles with tamperresistant foil help ensure quality and safety.Plus, your order comes in plain packaging foradditional security. T imely reminders. To help make sure you havethe medicine and supplies you need when youneed them, we can remind you when it’s timeto refill your medicine. Just set your preferenceswhen you sign up at HumanaPharmacy.com. T ime-saving mail delivery. Your medicine willbe shipped safely and securely to the locationof your choice. That means no more trips to thepharmacy. No more waiting in lines to pick upyour medicine. No more hassle. You may be ableto order just four times a year and have moretime to do the things you enjoy.Make Humana Pharmacy your one sourceMaintenance medicine. Medicine you take all thetime for conditions like high cholesterol, high bloodpressure and asthma.Specialty medicine. Specialized therapies to treatchronic or complex illnesses like rheumatoidarthritis and cancer.Visit HumanaPharmacy.comAfter you become a Humana member, youcan sign in with your MyHumana identificationnumber or register to get started. You can alsosign up by calling 1-800-379-0092 (TTY: 711),Monday – Friday, 8 a.m. – 11 p.m., and Saturday,8 a.m. – 6:30 p.m., Eastern time.G UI DEBO O KMore and more Humanamembers are findingHumana Pharmacy tobe their choice for value,experience, safety, accuracy,convenience and service.MAPD HMOHUMANA PHARMACYOnlineHumanaPharmacy.com. Start a new prescription,order refills, check on your order and getinformation about how to get started.ProviderLet your provider know he or she can sendprescriptions electronically through e-prescribe.Providers can also fill out the fax form bydownloading it from HumanaPharmacy.com/forms and faxing the prescription to HumanaPharmacy at 1-800-379-7617 or Humana SpecialtyPharmacy at 1-877-405-7940.MailDownload the “Registration & Prescription OrderForm” from HumanaPharmacy.com/forms andmail your paper prescriptions to:Humana PharmacyP.O. Box 745099Cincinnati, OH 45274-5099PhoneFor maintenance medicine, call Humana Pharmacyat 1-800-379-0092 (TTY: 711), Monday – Friday,8 a.m. – 11 p.m., and Saturday, 8 a.m. – 6:30 p.m.,Eastern time.For specialty medicine, call Humana SpecialtyPharmacy at 1-800-486-2668 (TTY: 711),Monday – Friday, 8 a.m. – 11 p.m., and Saturday,8 a.m. – 6:30 p.m., Eastern time.Humana Pharmacy Mobile d our Humana Pharmacy app form theiTunes App Store or Google Play. Sign in or select“Transfer Rx as guest” from the home screen.* Some prescriptions are only available in a30-day supply.7
DRUG CATEGORIESPreferred generic and generic drugsEssentially the same drugs, usuallypriced differentlyHave the same active ingredients as brand-name drugsand are prescribed for the same reasons. The Food andDrug Administration (FDA) requires generic drugs to havethe same quality, strength, purity and stability as brandname drugs. Your cost for generic drugs is usually lowerthan your cost for brand-name drugs.Preferred drugA medicine available to you for lessthan nonpreferredGeneric or brand-name drugs that Humana offersat a lower cost to you than nonpreferred drugs.Nonpreferred drugA more expensive drug than preferredMore expensive generic or brand-name prescriptiondrugs that Humana offers at a higher cost to you thanpreferred drugs.SpecialtyDrugs for specific usesSome injectable and other high-cost drugs.88
MAPD HMOMEDICATION THERAPY MANAGEMENTMedication therapy managementG UI DEBO O KAs part of your Medicare Part D coverage with Humana,you might be able to take part in a program calledMedication Therapy Management (MTM) at no extra cost.MTM may help you to: K now more about getting the greatest benefitfrom your medications R educe risk by learning how to avoid harmfulside effects P ossibly save money by finding lower-costalternatives to prescribed medicationsWho’s eligible?Members are chosen for MTM using the followingCenters for Medicare & Medicaid Services (CMS) andHumana criteria: Have three of the five multiple chronic conditions:– Congestive heart failure (CHF)– Dyslipidemia (high or low LDL cholesterol)– Diabetes– Chronic obstructive pulmonary disease (COPD)– Osteoporosis Take at least eight chronic/maintenance Part D drugs S pend more than 4,376 on prescription drugs percalendar yearHow does the program work?MTM offers additional information in the SmartSummarythat can help to manage medications and drug costs.Members also get a face-to-face or phone consultationwith a healthcare professional to talk about theirmedications.Scheduling a consultationIf you qualify for MTM, you will receive an invitationletter and see a note in your SmartSummary to call theMTM call center. If you think you qualify but don’t seethe note, please call the group Medicare Customer Carephone number. Although the MTM program is a specialservice offered at no cost to Medicare members, it is notconsidered a benefit.It’s about givingyou more: moretime getting toknow you, moreservices—somethat you expectand many thatyou don’t—andmore ways to helpyou live the wayyou want.9
PRESCRIPTION DRUG COVERAGEImportant information about your prescription drug coverageSome drugs covered by Humana may have requirements or limits on coverage. These requirements andlimits may include prior authorization, step therapy or quantity limits. You can visit Humana.com toregister or sign in and select Pharmacy or call Humana’s Group Medicare Customer Care team to checkcoverage on the medications you take.Prior authorizationThe Humana Group Medicare Plan requires you or your provider to get prior authorization for certaindrugs. This means that you will need to get approval from the Humana Group Medicare Plan beforeyou fill your prescriptions. The reason a prior authorization is required can vary depending on themedication. Humana will work with your provider when a prior authorization is required.If your provider prescribes a drug that needs prior authorization, please be sure the prior authorizationhas been submitted to Humana before the prescription is filled. The Centers for Medicare & MedicaidServices (CMS) requires a turnaround time of 72 hours for a prior authorization. However, an expeditedreview can be requested by your provider if waiting 72 hours may be harmful to you.Step therapyIn some cases, the Humana Group Medicare Plan requires that you first try certain drugs to treat yourmedical condition before coverage is available for a more expensive drug prescribed to treat yourmedical condition. For example, if Drug A and Drug B both treat your medical condition, the HumanaGroup Medicare Plan may not cover Drug B unless you try Drug A first. If Drug A does not work for you,the Humana Group Medicare Plan can then cover Drug B.A step therapy prescription can be filled once the necessary requirements are met. If you have alreadytried other medications that did not provide the desired clinical results, or you had an adverse reaction,your provider may submit this information to Humana for consideration in meeting the step therapyrequirements.Quantity limitsFor some drugs, the Humana Group Medicare Plan limits the quantity of the drug that is covered. TheHumana Group Medicare Plan might limit how many refills you can get or quantity of a drug you canget each time you fill your prescription. For example, if it’s normally considered safe to take only one pillper day for a certain drug, we may limit coverage for your prescription to no more than one pill per day.Specialty drugs are limited to a 30-day supply regardless of tier placement.One-time transition fillFor certain drugs typically requiring prior authorization or step therapy, Humana will cover a one-time,30-day supply of your Part D covered drug during the first 90 days of your enrollment. Once you havereceived the transition fill* for your prescription requiring a prior authorization or step therapy, you’llreceive a letter from Humana telling you about the requirements or limits on the prescription. Theletter will also advise that you will need to get approval before future refills will be covered. A priorauthorization will need to be approved or other alternative medicines should be tried if the medicationrequires step therapy.* Some drugs do not qualify for a transitional fill, such as drugs that require a Part B vs D determination,CMS Excluded drugs, or those that require a diagnosis review to determine coverage.10
MAPD HMONext steps for youG UI DEBO O K1. Visit Humana.com/Pharmacy or call the CustomerCare number on the back of your Humana member IDcard to see if your medications have quantity limits,or require a prior authorization or step therapy.2. T alk to your provider about your drugs if they requireprior authorization, step therapy is needed or hasquantity limits.3. I f you have questions about your prescription drugbenefits, please call our Customer Care number onthe back of your Humana member ID card.What should your provider do to meetquantity limits, prior authorization or steptherapy drug requirements? G o online to Humana.com/Provider and visitour provider prior authorization page. This pagehas a printable form that can be mailed orfaxed to Humana. C all 1-800-555-2546 (TTY: 711) to speak with ourHumana Clinical Pharmacy Review team. They areavailable Monday – Friday, 8 a.m. – 6 p.m.,Eastern time.Remember: Before making a change, you should alwaystalk about treatment options with your provider.Whether you choosea pharmacy fromour large networkor order yourmedicines throughthe mail, Humana’sprescription drugcoverage fits yourlife. We’ll even giveyou suggestions forsaving money.11
EXTRA BENEFITSSilverSneakersSilverSneakers gives you access to exercise equipment,group fitness classes and social events. Use thousands of fitness locations nationwide, withweights, swimming, classes and cardio equipment*,† Make friends and enjoy social activities Work toward improving muscle strength, bone density,flexibility and balance Enjoy group fitness classes outside traditional gyms† Start workout programs tailored to your level with theSilverSneakers GOTM app Try SilverSneakers On-DemandTM online workout videosthat feature tips on fitness and nutritionVisit SilverSneakers.com/StartHere to get yourSilverSneakers ID number and find a convenientlocation near you, or call 1-888-423-4632 (TTY: 711),Monday – Friday, 8 a.m. – 8 p.m., Eastern time.Extras that canhelp you improveyour overallwell-being, at noadditional cost.* Participating locations (“PL”) are not owned or operatedby Tivity Health, Inc. or its affiliates. Use of PL facilities andamenities are limited to terms and conditions of PL basicmembership. Facilities and amenities vary by PL.† Membership includes SilverSneakers instructor-led groupfitness classes. Some locations offer members additionalclasses. Classes vary by location.Humana At HomeSupports qualifying members with both short-term and longterm services that can help them remain independent athome. Humana At HomeSM care managers support membersby providing education about chronic conditions andmedication adherence, helping with discharge instructions,accessing community resources, finding social support andmore, all included in the plan at no additional cost.Visit Humana.com/caremgmt or call 1-800-432-4803(TTY: 711), Monday – Friday, 8:30 a.m. – 5:30 p.m.,Eastern timeHumana Well Dine meal programAfter your inpatient stay in a hospital or nursing facility,you’re eligible to receive 2 meals per day for 7 days, up to14 nutritious meals delivered to your door at no additionalcost to you. Limited to 4 times per year.12For more information, please contact the number onthe back of your Humana member ID card.
MAPD HMOCOMMUNICATIONSCommunication countsG UI DEBO O KAs soon as you receive your Humana member ID card, go to Humana.com andregister for MyHumana. This is your personal, secure online account that allowsyou to access your specific plan details from your computer or smartphone.The MyHumana Mobile appIf you have an iPhone or Android, download theMyHumana Mobile app.* You’ll have your plandetails with you at all times.Visit Humana.com/mobile-apps to learn aboutour many mobile apps, the app features and howto use them.With MyHumana and the MyHumana Mobile app,you can: Review your plan benefits and claims Find pharmacies in your network Find providers in your network Compare drug prices Access digital ID cards Establish communication preferencesConnect with us on FacebookFind healthcare information for Medicaremembers and caregivers to help in your pursuit oflifelong well-being at facebook.com/Humana.*Standard data rates may apply.Humana connects you with onlinetools that put your plan informationat your fingertips and make usingyour coverage easier.13
ALLIES IN WELL-BEINGChoose a caregiver to help youEveryone needs a little help now and then. We’re happyto work with you and whomever you designate as ahelper. Many people trust a family member or closefriend to help them with their healthcare—someonewho may help you talk with us about your insuranceplan, keep track of your benefits and claims, or askhealthcare questions on your behalf.Visit Humana.com/caregiver to learn more aboutnaming a caregiver and how to submit the Consent forRelease of Protected Health Information (PHI) form.Consent formsWe need your permission to share your personalinformation with someone else. To give your permission,you’ll need to read and sign a consent form.Here are the ways you can do that: F ill out and submit the form online once you haveregistered on MyHumana P rint the form from Humana.com/PHI and return itby following the instructions on the formMaking sure yourhelpers can helpyou—so you canfocus on livingyour life.14 C all us and we’ll mail the form to you to completeand returnA signed consent form allows insurers to share healthplan information and protected health information withyour designated helper. It’s different from grantingmedical power of attorney, which allows someone tomake decisions about your care.
MAPD HMOSMART SUMMARYYour personalizedbenefits statementG UI DEBO O KWe make it easy for you to understand, track, manageand possibly save money on your healthcare withSmartSummary . You’ll receive this statement after eachmonth you’ve had a medical and/or prescription claim.You can also sign into MyHumana and see your pastSmartSummary statement anytime.SmartSummary helps you: Understand your total healthcare picture Manage your monthly and yearly healthcare costs E ngage with your providers by having a list of thehealthcare services you receive L earn about preventive care, health conditions,treatment options and ways to help reduce healthexpensesSmartSummary includes: N umbers to watch – SmartSummary shows your totaldrug costs for the month and year-to-date. It alsoshows how much of these costs your plan paid andhow much you paid—so you can see the value ofyour prescription benefits. P ersonalized messages – SmartSummary gives youtips on saving money on the prescription drugs youtake, information about changes in prescriptioncopayments and how to plan ahead. Y our Rx record – A personalized prescription managertells you more about your prescription medications,including information about dosage and theprescribing provider. It also has a refill calendar thathelps you know the date of your next refill. This pagecan be useful to take to your provider appointmentsor to your pharmacist.We make iteasy for youto understand,track, manageand possibly savemoney on yourhealthcare. H ealthcare news relevant for you – SmartSummarypersonalizes a news section to let you knowabout things you can do for your health, includingmedicines and treatments for health problems.15
FREQUENTLY ASKED QUESTIONSDo I need to show my red, white and blue Medicare card when I visit the doctor?No. You’ll get a Humana member ID card that will take its place. Keep your Medicare ID card in a safeplace—or use it only when it’s needed for discounts and other offers from retailers.What should I do if I move or have a temporary address change?If you move to another area or state, it may affect your plan. It’s important to contact your groupbenefits administrator for details and call to notify Humana of the move.What should I do if I have to file a claim?Call Humana Group Medicare Customer Care for more information and assistance. To requestreimbursement for a charge you paid for a service, send the provider’s itemized receipt and the HealthBenefits Claim Form (also available at Humana.com) to the claims address on the back of your Humanamember ID card. Make sure the receipt includes your name and Humana member ID number.What if I have other health insurance coverage?If you have other health insurance, show your Humana member ID card and your other insurance cardswhen you see a healthcare provider. The Humana Group Medicare plan may be eligible in combinationwith other types of health insurance coverage you may have. This is called coordination of benefits.Please notify Humana if you have any other medical coverage.When does my coverage begin?Your former employer or union decides how and when you enroll. Check with your benefitsadministrator for the proposed effective date of your enrollment. Be sure to keep your currenthealthcare coverage until your Humana Group Medicare HMO plan enrollment is confirmed.What if my service needs a prior authorization?If your medical service or medication requires a prior authorization, your provider can contact Humanato request it. You can call Customer Care if you have questions regarding what medical services andmedications require prior authorization.What should I do if I need prescriptions filled before I receive my Humana member ID card?If you need to fill a prescription after your coverage begins but before you receive your Humana memberID card, take a copy of your temporary proof of membership to any in-network pharmacy.How can I get help with my drug plan costs?People with limited incomes may qualify for assistance from the Extra Help program to pay for theirprescription drug costs. To see if you qualify for Extra Help, call 1
You must be entitled to Medicare Part A and enrolled in Part B to be eligible for a Medicare Part C plan. Medicare Part D PRESCRIPTION DRUG COVERAGE Like Part C Medicare Advantage plans, Part D is only available through private companies, such as Humana. Many Part C Medicare Advantage plans include Medicare Part D prescription drug coverage.
